CMS Price Transparency Data

X-ray, pelvis

Facility: Ochsner Choctaw General

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $136
Cash Discount Price: $188
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Ochsner Choctaw General is $136. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $188. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.27x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$188

Average discount available for prompt cash payment at this facility.

Insurance Median

$136

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $188 (176%)

Insurance Median: $136 (127%)

Cash: $188 (176% of Medicare)

Ins. Median: $136 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$81 - $86	76%
Humana	$97 - $111	91%
Cigna	$111 - $136	104%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$111	104%
Medicare (plans)	$111 - $128	104%
Ambetter / Centene	$112	105%
Shared Health Mississippi	$117	110%
UnitedHealthcare	$136 - $174	127%
Aetna	$161	151%
Primewell Health Services Commercial Exchange Plan	$165	154%
Primewell Health Services – Commercial	$165	154%
Select Administrative Services Network	$173	162%
Blue Cross Blue Shield	$176	165%
Claritev D/B/A Multiplan/Phcs/American Life Care	$185	173%
Zelis	$185	173%
Prime Health Services Ppo -Workers Comp	$197	184%
Prime Health Services Ppo	$198	185%
Cor Vel	$201	188%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $188.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Choctaw General is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72170.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.